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A measles outbreak occurs when the number of cases of measles in the population exceeds the typical level. Outbreaks that are not detected and managed early can increase mortality and morbidity and incur costs from activities responding to these events. The number of measles cases in the Province of North Cotabato, Philippines, was used in this study. Weekly reported cases of measles from January 2016 to December 2021 were provided by the Epidemiology and Surveillance Unit of the North Cotabato Provincial Health Office. Several integer-valued autoregressive (INAR) time series models were used to explore the possibility of detecting and identifying measles outbreaks in the province along with the classical ARIMA model. These models were evaluated based on goodness of fit, measles outbreak detection accuracy, and timeliness. The results of this study confirmed that INAR models have the conceptual advantage over ARIMA since the latter produces non-integer forecasts, which are not realistic for count data such as measles cases. Among the INAR models, the ZINGINAR (1) model was recommended for having a good model fit and timely and accurate detection of outbreaks. Furthermore, policymak

Quantitative characterization of biophysical alterations caused by viral infection remains at an early stage. In this study, we examined the mechanical response of Vero cells after exposure to an attenuated Measles Vaccine Virus using atomic force microscopy (AFM) in combination with confocal microscopy. AFM force distance measurements were conducted in the perinuclear region to evaluate changes in elastic and viscoelastic properties. Within 24 hours post infection, cells infected at a multiplicity of infection of 0.5 exhibited an approximately thirty five percent decrease in median of the Young modulus relative to uninfected controls, indicating substantial cellular softening. Corresponding shifts in viscoelastic behavior were observed, including reductions in the relaxed modulus and in viscosities (effects comparable to those induced by cytochalasin D mediated actin depolymerization). Confocal microscopy further revealed a dependent reorganization of the cytoskeleton upon infection, marked by altered F actin distribution and changes in filament architecture. These findings suggest that actin remodeling contributes to the altered viscoelastic properties observed during infection.

Filtering algorithms for high-dimensional nonlinear non-Gaussian partially observed stochastic processes provide access to the likelihood function and hence enable likelihood-based or Bayesian inference for this methodologically challenging class of models. A novel Poisson approximate likelihood (PAL) filter was introduced by Whitehouse et al.\ (2023). PAL employs a Poisson approximation to conditional densities, offering a fast approximation to the likelihood function for a certain subset of partially observed Markov process models. PAL was demonstrated on an epidemiological metapopulation model for measles, specifically, a spatiotemporal model for disease transmission within and between cities. At face value, Table\ 3 of Whitehouse et al.\ (2023) suggests that PAL considerably out-performs previous analysis as well as an ARMA benchmark model. We show that PAL does not outperform a block particle filter and that the lookahead component of PAL was implemented in a way that introduces substantial positive bias in the log-likelihood estimates. Therefore, the results of Table\ 3 of Whitehouse et al.\ (2023) do not accurately represent the true capabilities of PAL.

This paper develops mathematical tools to estimate seasonal changes in measles transmission rates and corresponding variation in population susceptibility. The tools are designed to leverage times series of cases in the absence of demographic data. In particular, we focus on publicly available suspected case reports from the World Health Organization (WHO), which routinely publishes country-level, monthly aggregated time series. With that as input, we show that measles epidemiologies can be characterized efficiently at global-scale, and we use our estimates to recommend context-specific, future supplementary immunization times. Throughout the paper, comparisons with more data-informed models illustrate that the approach captures the essential dynamics, and broadly speaking, the tools we describe represent a scalable intermediate between conventional empirical approaches and more intricate disease models.

The work of this paper presents a dataset that contains the data of 4011 videos about the ongoing outbreak of measles published on 264 websites on the internet between January 1, 2024, and May 31, 2024. The dataset is available at https://dx.doi.org/10.21227/40s8-xf63. These websites primarily include YouTube and TikTok, which account for 48.6% and 15.2% of the videos, respectively. The remainder of the websites include Instagram and Facebook as well as the websites of various global and local news organizations. For each of these videos, the URL of the video, title of the post, description of the post, and the date of publication of the video are presented as separate attributes in the dataset. After developing this dataset, sentiment analysis (using VADER), subjectivity analysis (using TextBlob), and fine-grain sentiment analysis (using DistilRoBERTa-base) of the video titles and video descriptions were performed. This included classifying each video title and video description into (i) one of the sentiment classes i.e. positive, negative, or neutral, (ii) one of the subjectivity classes i.e. highly opinionated, neutral opinionated, or least opinionated, and (iii) one of the fine

Agent Based Models (ABMs) have emerged as a powerful tool for investigating complex social interactions, particularly in the context of public health and infectious disease investigation. In an effort to enhance the conventional ABM, enabling automated model calibration and reducing the computational resources needed for scaling up the model, we have developed a tensorized and differentiable agent-based model by coupling Graph Neural Network (GNN) and Long Short-Term Memory (LSTM) network. The model was employed to investigate the 2019 measles outbreak occurred in New Zealand, demonstrating a promising ability to accurately simulate the outbreak dynamics, particularly during the peak period of repeated cases. This paper shows that by leveraging the latest Artificial Intelligence (AI) technology and the capabilities of traditional ABMs, we gain deeper insights into the dynamics of infectious disease outbreaks. This, in turn, helps us make more informed decision when developing effective strategies that strike a balance between managing outbreaks and minimizing disruptions to everyday life.

Until the mid 1960s, the UK experienced regular measles epidemics, with the vast majority of children being infected in early childhood. The introduction of a measles vaccine substantially reduced its incidence. The first part of this paper examines the long-term human capital and health effects of this change in the early childhood disease environment. The second part investigates interactions between the vaccination campaign and individuals' endowments as captured using molecular genetic data, shedding light on complementarities between public health investments and individual endowments. We use two identification approaches, based on the nationwide introduction of the vaccine in 1968 and local vaccination trials in 1966. Our results show that exposure to the vaccination in early childhood positively affects adult height, but only among those with high genetic endowments for height. We find no effects on years of education; neither a direct effect, nor evidence of complementarities.

Real world spatio-temporal datasets, and phenomena related to them, are often challenging to visualise or gain a general overview of. In order to summarise information encompassed in such data, we combine two well known statistical modelling methods. To account for the spatial dimension, we use the intrinsic modification of the conditional autoregression, and incorporate it with the hidden Markov model, allowing the spatial patterns to vary over time. We apply our method to parish register data considering deaths caused by measles in Finland in 1750-1850, and gain novel insight of previously undiscovered infection dynamics. Five distinctive, reoccurring states, describing spatially and temporally differing infection burden and potential routes of spread, are identified. We also find that there is a change in the occurrences of the most typical spatial patterns circa 1812, possibly due to changes in communication networks after major administrative transformations in Finland.

Measles presents a unique and imminent challenge for epidemiologists and public health officials: the disease is highly contagious, yet vaccination rates are declining precipitously in many localities. Consequently, the risk of a measles outbreak continues to rise. To improve preparedness, we study historical measles data both pre- and post-vaccine, and design new methodology to forecast measles counts with uncertainty quantification. We propose to model the disease counts as an integer-valued functional time series: measles counts are a function of time-of-year and time-ordered by year. The counts are modeled using a negative-binomial distribution conditional on a real-valued latent process, which accounts for the overdispersion observed in the data. The latent process is decomposed using an unknown basis expansion, which is learned from the data, with dynamic basis coefficients. The resulting framework provides enhanced capability to model complex seasonality, which varies dynamically from year-to-year, and offers improved multi-month ahead point forecasts and substantially tighter forecast intervals (with correct coverage) compared to existing forecasting models. Importantly, th

Infections are known to interact as previous infections may have an effect on risk of succumbing to a new infection. The co-dynamics can be mediated by immunosuppression or -modulation, shared environmental or climatic drivers, or competition for susceptible hosts. Research and statistical methods in epidemiology often concentrate on large pooled datasets, or high quality data from cities, leaving rural areas underrepresented in literature. Data considering rural populations are typically sparse and scarce, especially in the case of historical data sources, which may introduce considerable methodological challenges. In order to overcome many obstacles due to such data, we present a general Bayesian spatio-temporal model for disease co-dynamics. Applying the proposed model on historical (1820-1850) Finnish parish register data, we study the spread of infectious diseases in pre-healthcare Finland. We observe that measles, pertussis, and smallpox exhibit positively correlated dynamics, which could be attributed to immunosuppressive effects or, for example, the general weakening of the population due to recurring infections or poor nutritional conditions.

The main idea in this paper is that the age associated with reported measles cases can be used to estimate the number of undetected measles infections. Somewhat surprisingly, even with age only to the nearest year, estimates of underreporting can be generated at the much faster, 2 week time-scale associated with measles transmission. I describe this idea by focusing on the well-studied, 60 city United Kingdom data set, which covers the transition to universal healthcare in 1948, and is, as a result, an interesting case study in infectious disease surveillance. Finally, at the end of the paper, I comment briefly on how the approach can be modified for application to modern contexts.

Measles is a significant source of global disease burden and child mortality. Measles vaccination through routine immunization (RI) programs in high-burden settings remains a challenge due to poor health care infrastructure and access. Supplementary immunization activities (SIA) in the form of vaccination campaigns are therefore implemented to prevent measles outbreaks by reducing the size of the susceptible population. The SIA efficacy, defined as the fraction of susceptible population immunized by an SIA, is a critical metric for assessing campaign effectiveness. We propose a discrete-time hidden Markov model for estimating SIA efficacy and forecasting future incidence trends using reported measles incidence data. Our approach extends the time-series susceptible-infected-recovered (TSIR) framework by adding a model component to capture the impact of SIAs on the susceptible population. It also accounts for under-reporting and its associated uncertainty via a two-stage estimation procedure with uncertainty propagation. The proposed model can be used to estimate the underlying susceptible population dynamics, assess how many susceptible people were immunized by past SIAs, and foreca

Despite substantial advances in global measles vaccination, measles disease burden remains high in many low- and middle-income countries. A key public health strategy for controling measles in such high-burden settings is to conduct supplementary immunization activities (SIAs) in the form of mass vaccination campaigns, in addition to delivering scheduled vaccination through routine immunization (RI) programs. To achieve balanced implementations of RI and SIAs, robust measurement of sub-national RI-specific coverage is crucial. In this paper, we develop a space-time smoothing model for estimating RI-specific coverage of the first dose of measles-containing-vaccines (MCV1) at sub-national level using complex survey data. The application that motivated this work is estimation of the RI-specific MCV1 coverage in Nigeria's 36 states and the Federal Capital Territory. Data come from four Demographic and Health Surveys, three Multiple Indicator Cluster Surveys, and two National Nutrition and Health Surveys conducted in Nigeria between 2003 and 2018. Our method incorporates information from the SIA calendar published by the World Health Organization and accounts for the impact of SIAs on t

Measles is considered as a highly contagious disease that leads to serious complications around the world. Thus, the paper determined the trend and the five-year forecasted data of the Measles in the Philippines. This study utilized the time series data for trend analysis and data forecasting using the ARIMA model to visualize the measles cases. Figures for the time-series and forecasted results are individually presented with the use of GRETL software. Results showed that there was an increasing pattern of the disease from 2016 to 2019. However, there was a decreasing pattern of its occurrence in the next five years based on the five-year forecast. Nevertheless, with the results of the study, there is still a need to improve the different intervention plans of the authority in alleviating the occurrence of the disease though it yielded a decreasing pattern in the future since it is evident that the figure of the forecasted data is still approximately 15,000 and above.

Measles is an infectious disease caused by the Morbilivirus Measles Virus which has accompanied the human race since the 4th millennium BC, it is a disease usually concerning the paediatric population and in the past, before the advent of vaccination, almost all the population suffered from it, and in some cases the complications derived from this disease, such as central nervous involvement. Vaccination changed the course of the disease worldwide and diminished the associated comorbidities and mortality; in Mexico the vaccination program commenced in the decade of the 1970s and was successful in preventing peaks of infection. Nevertheless, due to various factors, has the world seen measles outbreaks once more, this commencing in the year 2019 and extending towards the year 2020. Here we make account of the biology and the pathophysiology of the viral infection, and present three models: one concerning the dynamics of the cases by means of a continuous method and a discrete stochastic model; one concerning the cellular compartmentalization behaviour of the virus, that is the viral tropism towards certain cell types in the host and the tendencies in extended or complicated infection

Count data with excessive zeros are often encountered when modelling infectious disease occurrence. The degree of zero inflation can vary over time due to non-epidemic periods as well as by age group or region. The existing endemic-epidemic modelling framework (aka HHH) lacks a proper treatment for surveillance data with excessive zeros as it is limited to Poisson and negative binomial distributions. In this paper, we propose a multivariate zero-inflated endemic-epidemic model with random effects to extend HHH. Parameters of the new zero-inflation and the HHH part of the model can be estimated jointly and efficiently via (penalized) maximum likelihood inference using analytical derivatives. A simulation study confirms proper convergence and coverage probabilities of confidence intervals. Applying the model to measles counts in the 16 German states, 2005--2018, shows that the added zero-inflation improves probabilistic forecasts.